Saint Stephen the Witness Registration

After completing registration, click the 'Save' button at the bottom of this form.


*= Required field

Identification
First name:*:
Last name:*:
Birth date*: / /
Religious denomination:*:

Local address
Street/Residence Hall and Room number*:
City*:
State*:
Zip*:

Parent/Guardian
Full name:
Street:
City:
State:
Zip:

Phone numbers
Cell: () -
Work: () -
Home: () -
Preferred to use*:  Cell  Work  Home

Email address*:


Emergency contact name:
Phone for emergency contact: () -

If you are a student, your year in school:   High School student
  Freshman
  Sophomore
  Junior
  Senior
  Graduate student

Please check all that apply*:   UNI Faculty/Staff
  UNI Alumni
  Retired
  First Year at UNI
  Transfer Student
  Hawkeye Community College
  Allen School of Nursing
  International Student
          Country:



Time and Talent: Worship†

Worship ministry interests:   Greeter †
  Eucharistic Minister †
  Lector †
  Weekend Collection Counter †
  Chapel Sacristan †
  Organ/Piano †
  Cantor/Songleader †
  Choir
  Liturgy Committee
  Other Instrument †
          Instrument:
  Sacristy Linens
  Liturgical Environment

All Liturgical Ministers (greeters, lectors, etc.) MUST attend training to be included in the liturgical ministries schedule.



Time and Talent: Spiritual Growth and Education

Spiritual Growth and Education interests:   Bible Study
  G.I.F.T. Group (Faith Sharing)
  Individual Spiritual Direction
  Antioch Retreat
  Other Retreat Opportunities
  Busy Person's Retreat
  Men's Vocation Group
  Women's Vocation Group
  Pre-Marriage Retreat
  Baptism Preparation Class
  RCIA/Confirmation



Time and Talent: Outreach

Outreach interests:   Adopt-a-Grandparent
  Catholic Worker Meals
  Social Justice
  Community Life (Student)
  Community Life (Non-student)
  Blood Drive
  El Faro, Mexico Project



Time and Talent: Service

Service Interests:   Chalk Squad
  Student Receptionist
  Prayer Line
  Web Page Updating
  Service Trip
  Witness Council
  Student Ambassador
  Librarian (Music or Books)
  Volunteer: Building and Grounds
  Volunteer: Socials/Baking/Dinners
  Foreign Language
          Language:
  Center Environment (Plant Care)
  Office Volunteer
  In Kind Service/Donation



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